Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35101 | MA |
NPI | 1275507006 |
---|---|
Provider Name | Michael Freed |
First Address | Boston, MA 02284-5628 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 14/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6161 | HEALTH NET (01) | MA |
7500136 | UNITED HEALTHCARE MA (01) | MA |
99342502 | NETWORK HEALTH (01) | MA |
AA9213 | HARVARD PILGRIM (01) | MA |
B20086701 | CIGNA MA (01) | MA |
B75824 | (02) | |
M08390 | BCBS MA (01) | MA |
MF03667 | (05) | RI |
UNITED HEALTHCARE MA | 7500136 (01) | MA |